It is a new surgical technique, mainly advised in case of internal haemorrhoids (grade three or four) or prolapsed haemorrhoids. Because the procedure is performed above the dentate line inside the anal canal, fewer nerve ending are affected, making it a less painful procedure than the traditional one.
PROCEDURE
It is done under general/local anaesthesia.
A circular, hollow tube is inserted into the anal canal, through which a suture is introduced and woven, circumferentially within the anal canal above the internal hemorrhoids just like a purse string. The ends of the suture are brought out of the anus through the hollow tube called as anoscope.
A disposable circular stapling device is then inserted through the hollow tube and the ends of the suture are pulled. This pulls the expanded hemorrhoidal tissue into the jaws of the stapler. On firing the stapler, this tissue is excised and the cut ends are stapled. This helps to reduce the size of haemorrhoids by interrupting their blood supply and reducing the available rectal mucosa with the potential to prolapse.
DURATION
It takes approximately 30 min to 1 hour to complete the procedure.
Hospital stay is of 1-2 days.
RECOVERY
Stapling has a shorter recovery time than a traditional haemorrhoidectomy. Routine work can be resumed about a week afterwards.
RISKS
- Bleeding
- Infection
- Recurrence
- Fistula (between anal canal and vagina in women)
- Anal fissure
- Rectal perforation